Teenager with a bacterial pneumonia not responsive to oral antibiotics

CT of bronchopleural fistula
Axial CT without contrast of the chest shows consolidation of the right lower lobe with multiple air pockets within it giving the appearance of necrotic lung, a large loculated right empyema that contains an air pocket, and one of the air pockets in the right lower lobe appears to be in continuity with the air pocket in the pleural space suggesting the presence of a bronchopleural fistula.

The diagnosis was bacterial pneumonia with a bronchopleural fistula.